Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.85 / $69.05 / $612.47	Facility		$50.85	$69.05	$612.47
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $682.84 / $741.50 / $2,300.10	Facility	25	$682.84	$741.50	$2,300.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $81.73 / $187.87	Professional		$57.43	$81.73	$187.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $81.43 / $114.15	Professional		$74.06	$81.43	$114.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.29 / $85.00 / $125.79	Professional		$63.29	$85.00	$125.79
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $83.71 / $83.71 / $87.52	Professional		$83.71	$83.71	$87.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.76 / $91.32 / $113.03	Facility		$74.76	$91.32	$113.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $102.74 / $176.21	Professional		$76.09	$102.74	$176.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.96 / $91.96 / $91.96	Facility		$91.96	$91.96	$91.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.18 / $93.26 / $136.63	Professional		$67.18	$93.26	$136.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $127.41 / $127.41 / $127.41	Facility		$127.41	$127.41	$127.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $98.38 / $201.20	Professional		$72.23	$98.38	$201.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $106.46 / $144.77	Professional		$82.26	$106.46	$144.77
Optum Facility/Professional Professional Modifier Low / Median / High Price $76.94 / $80.98 / $108.82	Professional		$76.94	$80.98	$108.82
United Facility/Professional Professional Modifier Low / Median / High Price $60.37 / $80.09 / $130.30	Professional		$60.37	$80.09	$130.30